SCIOinspire is a leading independent provider of cost-containment and quality-improvement solutions for healthcare payers and providers.
With an extensive roster of clients that serve more than 30 million patients and plan members, SCIOinspire provides results-driven care analytics and data mining, member engagement and care effectiveness, payment integrity and audit programs, and business process optimization solutions to reduce administrative costs, eliminate payment errors, increase member engagement and measurably improve outcomes and quality.
We deliver the business value of data & analytics.
With expertise spanning clinical and administrative operations, SCIOinspire offers a unique combination of software and services to help healthcare organizations positively impact Administrative Loss Ratios (ALR) and Medical Loss Ratios (MLR). Drawing upon an expert and experienced team of clinical, actuarial, legal and analytical resources, SCIOinspire offers clients flexible delivery models.
Our Core Competencies
Care Management and Analytics: We help improve the effectiveness and efficiency of care management programs through analytics, custom reporting, value-based benefit design, presales analytics, opportunity assessment, ROI analysis and reporting.
Payment Integrity: Industry studies estimate that payers could be losing in excess of $100B annually to financial leakage. We help health plans control fraud, waste and abuse via a complete line of subrogation, coordination-of-benefits (COB), claim audit and overpayment programs, and data mining solutions.
Technology and Business Process Outsourcing: We help healthcare organizations reduce administrative costs via outsourcing and process efficiency. We focus on high-end domain based services that can help clients leverage an expert pool of healthcare professionals, technology driven processes, and flexible delivery models to improve processes, and lower costs.
Value Proposition
